MEDICARE: WILLIAM DEAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	DAPT000292	PA

General Provider Information

NPI Number	:	1710975222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM DEAN

Provider Business Mailing Address
First Line	:	3120 B WILMINGTON RD
Second Line	:	SUITE 153
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1168
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 WILMINGTON RD
Second Line	:	SUITE B
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1168
Country	:	US
Telephone Number	:	724-657-6852
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	05/28/2021

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Directions to “ WILLIAM DEAN ” Practice Location

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